{"id":88526,"date":"2026-05-17T14:24:12","date_gmt":"2026-05-17T14:24:12","guid":{"rendered":"https:\/\/www.europesays.com\/cz\/88526\/"},"modified":"2026-05-17T14:24:12","modified_gmt":"2026-05-17T14:24:12","slug":"toto-u-nas-neni-mozne-nemocnice-odmitaji-praxi-z-karlovych-varu","status":"publish","type":"post","link":"https:\/\/www.europesays.com\/cz\/88526\/","title":{"rendered":"\u201eToto u\u00a0n\u00e1s nen\u00ed mo\u017en\u00e9\u201c. Nemocnice odm\u00edtaj\u00ed praxi z\u00a0Karlov\u00fdch Var\u016f"},"content":{"rendered":"

V Karlovarsk\u00e9 krajsk\u00e9 nemocnici se stalo b\u011b\u017enou prax\u00ed, \u017ee p\u0159\u00edstroje pro sledov\u00e1n\u00ed a\u00a0podporu srde\u010dn\u00edho rytmu tam bez p\u0159\u00edtomnosti \u0161kolitele implantuje pacient\u016fm l\u00e9ka\u0159, kter\u00fd je\u0161t\u011b nem\u00e1 atestaci z\u00a0kardiologie ani\u00a0p\u0159\u00edslu\u0161nou licenci.<\/p>\n

Kon\u010d\u00edc\u00ed prim\u00e1\u0159 z\u00a0kardiocentra Alexandr Schee nevid\u00ed nic z\u00e1vadn\u00e9ho na tom, kdy\u017e sv\u00e9ho mlad\u0161\u00edho kolegu \u201ehl\u00edd\u00e1\u201c jen na d\u00e1lku.<\/p>\n

Ov\u0161em takto pojat\u00e9 implantace kardiostimul\u00e1tor\u016f a\u00a0defibril\u00e1tor\u016f, na kter\u00e9 ned\u00e1vno upozornily Seznam Zpr\u00e1vy<\/a>, jsou v\u00a0dal\u0161\u00edch \u010desk\u00fdch \u0161pit\u00e1lech nemysliteln\u00e9. Vypl\u00fdv\u00e1 to z\u00a0vyj\u00e1d\u0159en\u00ed \u0161\u00e9f\u016f \u010desk\u00fdch kardiocenter, na kter\u00e9 se Seznam Zpr\u00e1vy obr\u00e1tily.<\/p>\n

P\u0159esto si veden\u00ed z\u00e1pado\u010desk\u00e9 nemocnice st\u00e1le trv\u00e1 na tom, \u017ee \u017e\u00e1dn\u00e9 p\u0159edpisy neporu\u0161uje. \u201eMy jsme n\u00e1\u0161 postup zrevidovali a\u00a0je spr\u00e1vn\u00fd, odpov\u00edd\u00e1 b\u011b\u017en\u00e9 praxi,\u201c tvrd\u00ed sou\u010dasn\u00fd gener\u00e1ln\u00ed \u0159editel Ji\u0159\u00ed \u0160tefan, podle n\u011bho\u017e je p\u0159\u00edm\u00fd dozor na s\u00e1le nutn\u00fd jen u\u00a0\u00fapln\u00fdch za\u010d\u00e1te\u010dn\u00edk\u016f,\u00a0po n\u011bkolika des\u00edtk\u00e1ch absolvovan\u00fdch operac\u00ed u\u017e m\u016f\u017ee polevit.<\/p>\n

Nemocnice sv\u016fj postup obhajuje i\u00a0v tiskov\u00e9m prohl\u00e1\u0161en\u00ed<\/a> dosud nepublikovan\u00fdm stanoviskem \u010cesk\u00e9 l\u00e9ka\u0159sk\u00e9 komory, z\u00a0n\u011bho\u017e pr\u00fd \u201ejednozna\u010dn\u011b vypl\u00fdv\u00e1\u201c, \u017ee p\u0159\u00edtomnost \u0161kolitele u\u00a0ka\u017ed\u00e9ho jednotliv\u00e9ho v\u00fdkonu nutn\u00e1 nen\u00ed. Seznam Zpr\u00e1vy si toto stanovisko na z\u00e1klad\u011b informa\u010dn\u00edho z\u00e1kona od nemocnice vy\u017e\u00e1daly a\u00a0ukazuje se, \u017ee n\u00e1zor komory tak kategorick\u00fd nen\u00ed (viz n\u00ed\u017ee).<\/p>\n

Foto: \u010cesk\u00e1 l\u00e9ka\u0159sk\u00e1 komora<\/p>\n

Stanovisko \u010cesk\u00e9 l\u00e9ka\u0159sk\u00e9 komory, kter\u00e9 si Seznam Zpr\u00e1vy od Karlovarsk\u00e9 krajsk\u00e9 nemocnice vy\u017e\u00e1daly dle informa\u010dn\u00edho z\u00e1kona.<\/p>\n

Jen pr\u00e1vn\u00ed pohled<\/p>\n

Karlovarsk\u00e1 nemocnice se komory toti\u017e ani neptala, zda je jej\u00ed konkr\u00e9tn\u00ed postup pro operovan\u00e9 pacienty bezpe\u010dn\u00fd nebo odborn\u011b spr\u00e1vn\u00fd. Zaj\u00edmalo ji v\u00a0z\u00e1sad\u011b jen to, jak si z\u00a0hlediska pr\u00e1va vykl\u00e1dat pojem \u201epod veden\u00edm\u201c l\u00e9ka\u0159e-\u0161kolitele, uveden\u00fd v\u00a0p\u0159\u00edslu\u0161n\u00e9m stavovsk\u00e9m p\u0159edpisu.<\/p>\n

A \u010cesk\u00e1 l\u00e9ka\u0159sk\u00e1 komora zastoupen\u00e1 \u0159editelem jej\u00ed pr\u00e1vn\u00ed kancel\u00e1\u0159e Janem Machem tak odpov\u00eddala jen na abstraktn\u00ed pr\u00e1vn\u00ed ot\u00e1zku, p\u0159i\u010dem\u017e vyj\u00e1d\u0159ila n\u00e1zor, \u017ee pojem \u201epod veden\u00edm\u201c automaticky neznamen\u00e1 nep\u0159etr\u017eitou fyzickou p\u0159\u00edtomnost \u0161kolitele u\u00a0operace. Z\u00e1rove\u0148 ale zd\u016fraznila, \u017ee je na individu\u00e1ln\u00edm posouzen\u00ed \u0161kolitele, zda na s\u00e1le s\u00a0mlad\u0161\u00edm kolegou setrv\u00e1, p\u0159i\u010dem\u017e mus\u00ed v\u017edy z\u016fstat ve zdravotnick\u00e9m za\u0159\u00edzen\u00ed k\u00a0dispozici pro p\u0159\u00edpad mimo\u0159\u00e1dn\u00e9 situace.<\/p>\n

Karlovarsk\u00fd prim\u00e1\u0159 Schee se p\u0159itom sna\u017e\u00ed obh\u00e1jit i\u00a0situaci, kdy neatestovan\u00fd l\u00e9ka\u0159 s\u00e1m implantoval a\u00a0on coby jeho \u0161kolitel ve stejn\u00fd \u010das ve vedlej\u0161\u00ed budov\u011b a\u00a0na jin\u00e9m pat\u0159e prov\u00e1d\u011bl katetrizaci.<\/p>\n

\u201eNa tom s\u00e1le (kde se d\u011blaj\u00ed implantace) jsem nebyl, ale j\u00e1 tam b\u00fdt nemus\u00edm,\u201c prohl\u00e1sil v\u00a0dubnu pro Seznam Zpr\u00e1vy Schee. \u201eJ\u00e1 mus\u00edm b\u00fdt dostupn\u00fd a\u00a0to jsem v\u017edy byl,\u201c tvrdil s\u00a0t\u00edm, \u017ee to m\u011bl v\u017edy za\u0159\u00edzeno tak, \u017ee by mohl katetrizaci ve vedlej\u0161\u00edm nemocni\u010dn\u00edm bloku kdykoliv p\u0159eru\u0161it a\u00a0p\u0159edat ji sv\u00e9mu z\u00e1stupci.<\/p>\n

P\u0159esto\u017ee nemocnice v\u00a0tiskov\u00e9 zpr\u00e1v\u011b uv\u00e1d\u00ed, \u017ee prov\u00e1d\u011bn\u00e9 implantace jsou pln\u011b v\u00a0souladu s\u00a0pr\u00e1vn\u00edm \u0159\u00e1dem a\u00a0odpov\u00eddaj\u00ed pr\u00fd \u201estandardn\u00ed praxi v\u00a0oboru\u201c, dotazov\u00e1n\u00ed, kter\u00e9 Seznam Zpr\u00e1vy uskute\u010dnily ve t\u0159ech p\u0159edn\u00edch \u010desk\u00fdch kardiocentrech, nic takov\u00e9ho nepotvrdilo. Nikde jinde tento model \u201evzd\u00e1len\u00e9ho dohledu\u201c nefunguje. <\/p>\n

<\/a>\u201eToto u\u00a0n\u00e1s nen\u00ed mo\u017en\u00e9\u201c<\/p>\n

Na ot\u00e1zku, zda by bylo mo\u017en\u00e9, aby na jejich pracovi\u0161ti z\u016fstal neatestovan\u00fd l\u00e9ka\u0159 \u201eosamocen\u201c a\u00a0jeho \u0161kolitel b\u011bhem operace pob\u00fdval v\u00a0jin\u00e9 nemocni\u010dn\u00ed budov\u011b, uvedli p\u0159edstavitel\u00e9 v\u0161ech osloven\u00fdch klinik, \u017ee to u\u00a0nich nep\u0159ipad\u00e1 v\u00a0\u00favahu.<\/p>\n

\u201e\u0160kolitel – pln\u011b kvalifikovan\u00fd l\u00e9ka\u0159 je p\u0159\u00edtomen v\u017edy p\u0159\u00edmo na s\u00e1le,\u201c popsal praxi Jan Krej\u010d\u00ed, p\u0159ednosta I. intern\u00ed kardioangiologick\u00e9 kliniky v\u00a0brn\u011bnsk\u00e9 Fakultn\u00ed nemocnici u\u00a0sv. Anny.<\/p>\n

\u201eV na\u0161em centru prov\u00e1d\u011bj\u00ed implantace l\u00e9ka\u0159i s\u00a0atestac\u00ed a\u00a0funk\u010dn\u00ed licenc\u00ed. \u0160kol\u00edme dal\u0161\u00ed l\u00e9ka\u0159e bez atestace, ale p\u0159i v\u00fdkonu je s\u00a0nimi na s\u00e1le zku\u0161en\u00fd atestovan\u00fd l\u00e9ka\u0159 s\u00a0licenc\u00ed,\u201c prohl\u00e1sil pro Seznam Zpr\u00e1vy Josef Kautzner, p\u0159ednosta kardiocentra pra\u017esk\u00e9ho IKEM.<\/p>\n

Jm\u00e9nem pra\u017esk\u00e9 Fakultn\u00ed nemocnice Motol a\u00a0Homolka se podobn\u011b vyj\u00e1d\u0159ila i\u00a0mluv\u010d\u00ed Martina Dost\u00e1lov\u00e1. \u201eToto na na\u0161em pracovi\u0161ti nen\u00ed mo\u017en\u00e9,\u201c uvedla.<\/p>\n

Ta sice sd\u011blila, \u017ee mlad\u00fd l\u00e9ka\u0159 po absolvov\u00e1n\u00ed tzv. z\u00e1kladn\u00edho kmene m\u016f\u017ee v\u00fdkony prov\u00e1d\u011bt jen pod \u201edohledem\u201c (tedy u\u017e ne pod p\u0159\u00edm\u00fdm dozorem na s\u00e1le jako l\u00e9ka\u0159 bez atestace), ov\u0161em star\u0161\u00ed erudovan\u00fd l\u00e9ka\u0159 mus\u00ed b\u00fdt v\u00a0dob\u011b v\u00fdkonu p\u0159\u00edtomen v\u00a0s\u00e1lov\u00e9m (opera\u010dn\u00edm) traktu a\u00a0tedy b\u00fdt okam\u017eit\u011b dostupn\u00fd mlad\u00e9mu kolegovi pro konzultaci \u010di p\u0159\u00edpadnou pomoc p\u0159i dokon\u010den\u00ed operace.<\/p>\n

\u201eTento postup vych\u00e1z\u00ed z\u00a0platn\u00e9 legislativy a\u00a0pravidel specializa\u010dn\u00ed p\u0159\u00edpravy,\u201c poznamenala Dost\u00e1lov\u00e1.<\/p>\n

<\/a>\u010cek\u00e1n\u00ed na nov\u00e9ho prim\u00e1\u0159e<\/p>\n

\u00dapln\u011b prvn\u00edm \u010dlov\u011bkem, kdo u\u017e p\u0159ed rokem v\u00a0Karlov\u00fdch Varech implantace neatestovan\u00fdmi l\u00e9ka\u0159i napadl, byla tehdej\u0161\u00ed \u0159editelka nemocnice Nela Kva\u010dkov\u00e1. A\u00a0to na neve\u0159ejn\u00e9m jedn\u00e1n\u00ed dozor\u010d\u00ed rady, jeho\u017e se z\u00fa\u010dastnil i\u00a0tehdej\u0161\u00ed krajsk\u00fd n\u00e1m\u011bstek a\u00a0nyn\u011bj\u0161\u00ed hejtman Petr Kubis (ANO). <\/p>\n

Jak dokl\u00e1d\u00e1 zvukov\u00fd z\u00e1znam, kter\u00fd redakce Seznam Zpr\u00e1v zve\u0159ejnila, Kubis a\u00a0n\u011bkte\u0159\u00ed dal\u0161\u00ed \u00fa\u010dastn\u00edci m\u00edsto \u0159e\u0161en\u00ed probl\u00e9mu apelovali na ostatn\u00ed, \u017ee se citliv\u00e9 informace o\u00a0implantac\u00edch \u201enesm\u00ed dostat ven\u201c<\/a>. \u0158editelka Kva\u010dkov\u00e1 byla p\u00e1r dn\u016f pot\u00e9 krajsk\u00fdmi radn\u00edmi odvol\u00e1na.<\/p>\n

Jak Seznam Zpr\u00e1vy tak\u00e9 popsaly, stejn\u00e9 t\u00e9ma na konci leto\u0161n\u00edho \u00fanora ve\u0159ejn\u011b nasv\u00edtil zdravotnick\u00fd z\u00e1chran\u00e1\u0159 z\u00a0karlovarsk\u00e9ho kardiocentra Miroslav Rada, kter\u00fd \u201ebenevolentn\u00ed\u201c model implantac\u00ed neatestovan\u00fdmi l\u00e9ka\u0159i zkritizoval sv\u00fdm p\u0159\u00edsp\u011bvkem na facebooku. <\/p>\n

Foto: Miroslav Rada – Facebook<\/p>\n

Ji\u017e nedostupn\u00fd p\u0159\u00edsp\u011bvek, kter\u00fd na facebook v\u00a0reakci na fungov\u00e1n\u00ed kraje napsal letos 26.\u00a0\u00fanora zdravotnick\u00fd z\u00e1chran\u00e1\u0159 Miroslav Rada.<\/p>\n

Pr\u00e1v\u011b p\u00e1r dn\u00ed po Radov\u011b p\u0159\u00edsp\u011bvku – 6.\u00a0b\u0159ezna – si nemocnice vy\u017e\u00e1dala v\u00fd\u0161e uveden\u00e9 stanovisko \u010cesk\u00e9 l\u00e9ka\u0159sk\u00e9 komory. A\u00a0zhruba ve stejn\u00e9 dob\u011b dosavadn\u00ed prim\u00e1\u0159 Alexandr Schee sv\u00fdm pod\u0159\u00edzen\u00fdm ozn\u00e1mil, \u017ee se u\u017e o\u00a0funkci nebude znovu uch\u00e1zet.<\/p>\n

Jak nyn\u00ed uv\u00e1d\u00ed gener\u00e1ln\u00ed \u0159editel nemocnice Ji\u0159\u00ed \u0160tefan, jm\u00e9no nov\u00e9ho prim\u00e1\u0159e bude ozn\u00e1meno v\u00a0nejbli\u017e\u0161\u00edch dnech. <\/p>\n

\u201eBude to l\u00e9ka\u0159, kter\u00fd tu u\u017e v\u00a0minulosti pracoval, potom ode\u0161el pracovat mimo a\u00a0te\u010f se vrac\u00ed zp\u00e1tky,\u201c popisuje \u0159editel v\u00a0n\u00e1znac\u00edch nov\u00e9ho \u0161\u00e9fa kardiocentra.<\/p>\n

Zm\u00edn\u011bn\u00fd zdravotnick\u00fd z\u00e1chran\u00e1\u0159 Miroslav Rada, kter\u00fd ve\u0159ejnou polemiku vyvolal, je nyn\u00ed s\u00e1m v\u00a0pracovn\u00ed neschopnosti a\u00a0vzhledem k\u00a0vyhrocen\u00e9 situaci na dosavadn\u00edm pracovi\u0161ti si pr\u00fd nen\u00ed jist\u00fd, zda v\u00a0nemocnici po uzdraven\u00ed je\u0161t\u011b setrv\u00e1. \u201eUp\u0159\u00edmn\u011b, nev\u00edm co d\u011blat,\u201c uvedl pro Seznam Zpr\u00e1vy.<\/p>\n","protected":false},"excerpt":{"rendered":"V Karlovarsk\u00e9 krajsk\u00e9 nemocnici se stalo b\u011b\u017enou prax\u00ed, \u017ee p\u0159\u00edstroje pro sledov\u00e1n\u00ed a\u00a0podporu srde\u010dn\u00edho rytmu tam bez p\u0159\u00edtomnosti…\n","protected":false},"author":2,"featured_media":88527,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","_share_on_mastodon":"0"},"categories":[7],"tags":[43,42,41,40,12155,13476,27336,15893],"class_list":["post-88526","post","type-post","status-publish","format-standard","has-post-thumbnail","category-cesko","tag-ceska-republika","tag-cesko","tag-czech-republic","tag-czechia","tag-defibrilator","tag-kardiologie","tag-kardiostimulator","tag-karlovarska-krajska-nemocnice"],"share_on_mastodon":{"url":"https:\/\/pubeurope.com\/@cz\/116590376845959387","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/posts\/88526","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/comments?post=88526"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/posts\/88526\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/media\/88527"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/media?parent=88526"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/categories?post=88526"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/tags?post=88526"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}